Literature DB >> 18198363

To die, to sleep: US physicians' religious and other objections to physician-assisted suicide, terminal sedation, and withdrawal of life support.

Farr A Curlin1, Chinyere Nwodim, Jennifer L Vance, Marshall H Chin, John D Lantos.   

Abstract

This study analyzes data from a national survey to estimate the proportion of physicians who currently object to physician-assisted suicide (PAS), terminal sedation (TS), and withdrawal of artificial life support (WLS), and to examine associations between such objections and physician ethnicity, religious characteristics, and experience caring for dying patients. Overall, 69% of the US physicians object to PAS, 18% to TS, and 5% to WLS. Highly religious physicians are more likely than those with low religiosity to object to both PAS (84% vs 55%, P < .001) and TS (25% vs 12%, P < .001). Objection to PAS or TS is also associated with being of Asian ethnicity, of Hindu religious affiliation, and having more experience caring for dying patients. These findings suggest that, with respect to morally contested interventions at the end of life, the medical care patients receive will vary based on their physicians' religious characteristics, ethnicity, and experience caring for dying patients.

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Year:  2008        PMID: 18198363      PMCID: PMC2867462          DOI: 10.1177/1049909107310141

Source DB:  PubMed          Journal:  Am J Hosp Palliat Care        ISSN: 1049-9091            Impact factor:   2.500


  43 in total

1.  Physicians' experiences with the Oregon Death with Dignity Act.

Authors:  L Ganzini; H D Nelson; T A Schmidt; D F Kraemer; M A Delorit; M A Lee
Journal:  N Engl J Med       Date:  2000-02-24       Impact factor: 91.245

Review 2.  Palliative sedation.

Authors:  Maureen Lynch
Journal:  Clin J Oncol Nurs       Date:  2003 Nov-Dec       Impact factor: 1.027

Review 3.  Terminal sedation: palliative care for intractable pain, post Glucksberg and Quill.

Authors:  Rob McStay
Journal:  Am J Law Med       Date:  2003

4.  Terminal sedation: an acceptable exit strategy?

Authors:  Muriel R Gillick
Journal:  Ann Intern Med       Date:  2004-08-03       Impact factor: 25.391

Review 5.  Current research findings on end-of-life decision making among racially or ethnically diverse groups.

Authors:  Jung Kwak; William E Haley
Journal:  Gerontologist       Date:  2005-10

6.  The association of physicians' religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter.

Authors:  Farr A Curlin; Marshall H Chin; Sarah A Sellergren; Chad J Roach; John D Lantos
Journal:  Med Care       Date:  2006-05       Impact factor: 2.983

7.  Religious characteristics of U.S. physicians: a national survey.

Authors:  Farr A Curlin; John D Lantos; Chad J Roach; Sarah A Sellergren; Marshall H Chin
Journal:  J Gen Intern Med       Date:  2005-07       Impact factor: 5.128

8.  Religion, conscience, and controversial clinical practices.

Authors:  Farr A Curlin; Ryan E Lawrence; Marshall H Chin; John D Lantos
Journal:  N Engl J Med       Date:  2007-02-08       Impact factor: 91.245

9.  Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands.

Authors:  Judith A C Rietjens; Agnes van der Heide; Astrid M Vrakking; Bregje D Onwuteaka-Philipsen; Paul J van der Maas; Gerrit van der Wal
Journal:  Ann Intern Med       Date:  2004-08-03       Impact factor: 25.391

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  31 in total

1.  Assessment of Covert Consciousness in the Intensive Care Unit: Clinical and Ethical Considerations.

Authors:  Brian L Edlow; Joseph J Fins
Journal:  J Head Trauma Rehabil       Date:  2018 Nov/Dec       Impact factor: 2.710

2.  Religion and United States physicians' opinions and self-predicted practices concerning artificial nutrition and hydration.

Authors:  Kelly M Wolenberg; John D Yoon; Kenneth A Rasinski; Farr A Curlin
Journal:  J Relig Health       Date:  2013-12

3.  Directive counsel and morally controversial medical decision-making: findings from two national surveys of primary care physicians.

Authors:  Michael S Putman; John D Yoon; Kenneth A Rasinski; Farr A Curlin
Journal:  J Gen Intern Med       Date:  2013-10-11       Impact factor: 5.128

4.  The impact of religiosity on suicidal ideation among youth in central Mexico.

Authors:  Steven Hoffman; Flavio F Marsiglia
Journal:  J Relig Health       Date:  2014-02

Review 5.  Physician-Assisted Suicide: Why Neutrality by Organized Medicine Is Neither Neutral Nor Appropriate.

Authors:  Daniel P Sulmasy; Ilora Finlay; Faith Fitzgerald; Kathleen Foley; Richard Payne; Mark Siegler
Journal:  J Gen Intern Med       Date:  2018-05-02       Impact factor: 5.128

6.  Kansas physician assistants' attitudes and beliefs regarding spirituality and religiosity in patient care.

Authors:  Gina M Berg; Robin E Crowe; Ginny Budke; Jennifer Norman; Valerie Swick; Sue Nyberg; Felecia Lee
Journal:  J Relig Health       Date:  2013-09

7.  US Physicians' Opinions about Distinctions between Withdrawing and Withholding Life-Sustaining Treatment.

Authors:  Grace S Chung; John D Yoon; Kenneth A Rasinski; Farr A Curlin
Journal:  J Relig Health       Date:  2016-10

8.  Providing guidance to patients: physicians' views about the relative responsibilities of doctors and religious communities.

Authors:  Alexander H Sheppe; Roscoe F Nicholson; Kenneth A Rasinski; John D Yoon; Farr A Curlin
Journal:  South Med J       Date:  2013-07       Impact factor: 0.954

9.  Spirituality, Religiosity, and Health: a Comparison of Physicians' Attitudes in Brazil, India, and Indonesia.

Authors:  Giancarlo Lucchetti; Parameshwaran Ramakrishnan; Azimatul Karimah; Gabriela R Oliveira; Amit Dias; Anil Rane; A Shukla; S Lakshmi; B K Ansari; R S Ramaswamy; Rajender A Reddy; Antoinette Tribulato; Anil K Agarwal; Jagadish Bhat; Namburu Satyaprasad; Mushtaq Ahmad; Pasupuleti Hanumantha Rao; Pratima Murthy; Kuntaman Kuntaman; Harold G Koenig; Alessandra L G Lucchetti
Journal:  Int J Behav Med       Date:  2016-02

Review 10.  A systematic review of religious beliefs about major end-of-life issues in the five major world religions.

Authors:  Rajshekhar Chakraborty; Areej R El-Jawahri; Mark R Litzow; Karen L Syrjala; Aric D Parnes; Shahrukh K Hashmi
Journal:  Palliat Support Care       Date:  2017-10
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